Assistência domiciliar: a experiência de um hospital privado do interior paulista

Abstract

Home care is defined as a group of hospital procedures that can be developed at home, encompassing health actions developed by a multiprofessional team. This study aims at disseminating the experience of a home care service offered by São Francisco Hospital, located in the city of Ribeirão Preto, presenting the results of a 12-month period (from September 2001 to August 2002). During the analyzed period, the service provided care mainly to women (57%), with age between 70 and 80 years (30%), with diagnosis of neurological diseases (27%) and tumors (17%). The sector is coordinated by nurses, who are also responsible for bringing in clients. The work is performed by an interprofessional team that performs procedures of collecting material for lab examinations, dressing, deliver care with catheters and ostomies, as well as home hospitalization.

Clinical and epidemiological characterization of patients receiving home care in the city of Maceió, in the state of Alagoas, Brazil

“…A similar result was found in the study by Fabrício et al 18 , where the most prevalent diagnosis was neurological disease (27%), followed by neoplasias (17%). In the study by Aguiar 19 , the majority of patients suffered from neurological diseases (68.7%), followed by endocrine-metabolic illnesses (64.8%).…”

Educational settings in the management of patients with heart failure

“…Through this resource, we can better understand the family dynamics and verify the family's level of involvement in the treatment offered (19) . Community programs that provide primary care to people with HF at their own home are offered to those that have conditions to go to a specialized clinic (5) .…”

“…Thus, home visit has shown to be an innovation in health services, an important step for the development of an effective primary prevention policy. This type of care provides an intense education to care providers and/or relatives, making them able and confident to deliver the care (19) . Another resource that is available for extra-hospital investigation of people with HF is the telephone monitoring, which is presented below.…”

Challenges and perspectives of professionals working in a home care service/Desafios e perspectivas de profissionais que atuam em um serviço de atendimento domiciliar/Retos y perspectivas de los profesionales que trabajan en el servicio de atención domici

“…Também são realizadas orientações aos responsáveis pelo cuidado, no domicílio, e com relação à periodicidade do atendimento, este é realizado de acordo com a complexidade do cuidado requerido (2) . (10) .…”

“…Nos relatos, constata-se que há uma expectativa com o progresso e ascensão desta modalidade de atendimento no domicilio. As perspectivas com relação ao cuidado domiciliar são muito crescentes, fazendo com que os profissionais preocupem-se com sua formação para trabalhar na área (2) .…”